Prevalência de comorbidades psiquiátricas no TEA e principais desafios do diagnóstico diferencial
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Aug 27, 2024
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Resumo
Objetivo: Analisar as características da Prevalência de Comorbidades Psiquiátricas no TEA e Principais Desafios do Diagnóstico Diferencial. Revisão bibliográfica: A coexistência de comorbidades psiquiátricas em pacientes com Transtorno do Espectro Autista (TEA) é uma área de considerável pesquisa e preocupação clínica, apresentando taxas de prevalência significativamente elevadas. Essas taxas variam de acordo com a população analisada e o método de diagnóstico empregado, reforçando a complexidade inerente ao tema. O diagnóstico diferencial torna-se, portanto, uma etapa crucial para a implementação de um tratamento eficaz e individualizado. Vários estudos têm abordado a frequência de comorbidades como Transtorno de Déficit de Atenção e Hiperatividade (TDAH), Transtorno de Ansiedade e até Transtornos do Humor em pacientes com TEA, evidenciando a necessidade de um olhar multidisciplinar para o manejo clínico desses indivíduos. Considerações finais: Em resumo, a elevada incidência de comorbidades psiquiátricas em pacientes com TEA exige um diagnóstico diferencial cuidadoso e um tratamento mais holístico, que considere a interação entre TEA e outras condições psiquiátricas concomitantes.
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Como Citar
TorinaH. F., CorreaL. J. L. F., SantosG., MiguelI. N., AissaJ. M., NicolaJ. B., & CarvalhoG. R. (2024). Prevalência de comorbidades psiquiátricas no TEA e principais desafios do diagnóstico diferencial. Revista Eletrônica Acervo Saúde, 24(8), e16246. https://doi.org/10.25248/reas.e16246.2024
Seção
Revisão Bibliográfica
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Referências
1. ALLELY CS, et al. Autism spectrum disorder and personality disorders: How do clinicians carry out a differential diagnosis?. Autism, 2023; 10(6): 1847-1850.
2. AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and statistical manual of mental disorders. 5nd ed. Arlington, VA: 2013.
3. ARNEVIK EA e HELVERSCHOU SB. Autism Spectrum Disorder and Co-occurring Substance Use Disorder - A Systematic Review. Subst Abuse. 2016; 10(1): 69-75.
4. BHANDARI S, Thrombotic Thrombocytopenic Purpura. N Engl J Med, 2019; 380(16): 23.
5. BOOGERT, F, et al. Sensory processing and alcohol use in adults with autism spectrum disorder. Alcohol, 2023; 19(114): 25-30.
6. BROOKMAN-FRAZEE L, et al. Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services. Autism, 2019; 23(7): 1745-1758.
7. CAPRIOLA-HALL NN, et al. Caution When Screening for Autism among Socially Anxious Youth. Journal of Autism and Developmental Disorders, 2020; 51(5): 1540-1549.
8. CHIURAZZI P, et al. Genetic analysis of intellectual disability and autism. Acta Biomed, 2020; 91(13-S): e2020003.
9. CRAIG F, et al. Overlap between Autism Spectrum Disorders and attention deficit hyperactivity disorder: searching for distinctive/common clinical features. Autism Research, 2015; 8(3): 328-337.
10. DE BRUIN EI, et al. High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 2007; 37(5): 877-886.
11. DUNALSKA A, et al. Comorbidity of bipolar disorder and autism spectrum disorder - review paper. Psychiatr Pol, 2021; 55(6): 1421-1431.
12. FARAG F, et al. Avoidant/restrictive food intake disorder and autism spectrum disorder: clinical implications for assessment and management. Dev Med Child Neurol, 2022; 64(2): 176-182.
13. GARGARO BA, et al. Autism and ADHD: how far have we come in the comorbidity debate?. Neuroscience & Biobehavioral Reviews, 2011; 35(5): 1081-1088.
14. GONZÁLEZ MC, et al. Autism spectrum disorder: Clinical diagnosis and ADOS Test. Revista Chilena De Pediatria, 2019; 90(5): 485-491.
15. HERVÁS A. Género femenino y autismo: infra detección y mis diagnósticos. Medicina (Buenos Aires), 2022; 82(Supl. I): 37-42.
16. HOFVANDER B, et al. Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders. BMC Psychiatry, 2009; 9: 35.
17. HOSSAIN MM, et al. Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses. Psychiatry Res, 2020; 287: 112922.
18. HUDSON CC, et al. Prevalence of Depressive Disorders in Individuals with Autism Spectrum Disorder: a Meta-Analysis. J Abnorm Child Psychol, 2019; 47(1): 165-175.
19. HYMAN SL, et al. Identification, Evaluation, and Management of Children With Autism Spectrum Disorder. Council On Children With Disabilities, Section On Developmental And Behavioral Pediatrics. Pediatrics, 2020; 145(1): e20193447.
20. JONES CRG, et al. Co-occurrence of developmental disorders: children who share symptoms of autism, dyslexia and attention deficit hyperactivity disorder. Pesquisa em Revista de Saúde Mental, 2014; 17(2): 115-124.
21. JOSHI G, et al. The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: a large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders, 2010; 40(11): 1361-1370.
22. JUTLA A, et al. Autism spectrum disorder and schizophrenia: an updated conceptual review. Autism Res, 2022; 15(3): 384-412.
23. KENTROU V, et al. Delayed autism spectrum disorder recognition in children and adolescents previously diagnosed with attention-deficit/hyperactivity disorder. Autism, 2019; 23(4): 1065-1072.
24. KERNS CM e KENDALL PC. The presentation and classification of anxiety in autism spectrum disorder. Clinical psychology: Science and practice, 2012; 19(4): 323-347.
25. LAI MC, et al. A Multidimensional Meta-Analysis of Pharmacotherapy for Autism Spectrum Disorder. The American Journal of Psychiatry, 2014; 171(8): 834-841.
26. LECAVALIER L, et al. An exploration of concomitant psychiatric disorders in children with autism spectrum disorder. Comprehensive Psychiatry, 2019; 88(1): 57-64.
27. LEE DO e OUSLEY OY. Attention-deficit hyperactivity disorder symptoms in a clinic sample of children and adolescents with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 2006; 16(6): 737-746.
28. LEYFER OT, et al. Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 2006; 36(7): 849-861.
29. LUGNEGARD T, et al. Personality disorders and autism spectrum disorders: What are the connections? Comprehensive Psychiatry, 2012; 53(4): 333-340.
30. MARTIN AF, et al. Co-occurring obsessive-compulsive disorder and autism spectrum disorder in young people: prevalence, clinical characteristics and outcomes. Eur Child Adolesc Psychiatry, 2020; 29(11): 1603-1611.
31. MATSON JL e GOLDIN RL. Comorbidity and autism: trends, topics and future directions. Research in Autism Spectrum Disorders, 2013; 7(10): 1228-1233.
32. MAZEFSKY CA, et al. The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child e Adolescent Psychiatry, 2012; 51(7): 679-688.
33. MATSON JL, et al. Comorbidity of physical and motor problems in children with autism. Research in Autism Spectrum Disorders, 2016; 21(1): 1-7.
34. MULAS F e ROCA P. Concordancias entre los trastornos del espectro del autismo y el trastorno por déficit de atención/hiperactividad. Rev Neurol 2018; 66(Supl 1): S91-6.
35. PARMEGGIANI A, et al. Early features of autism spectrum disorder: a cross-sectional study. Italian Journal of Pediatrics, 2019; 45(10): 14.
36. PAZUNIAK M e PEKRUL SR. Obsessive-Compulsive Disorder in Autism Spectrum Disorder Across the Lifespan. Child Adolesc Psychiatr Clin N Am, 2020; 29(2): 419-432.
37. ROGERS SJ e VISMARA LA. Evidence-based comprehensive treatments for early autism. Journal of Clinical Child e Adolescent Psychology, 2008; 37(1): 8-38.
38. RONALD A, et al. Genetic heterogeneity between the three components of the autism spectrum: A twin study. Journal of the American Academy of Child & Adolescent Psychiatry, 2010; 45(6): 691-699.
39. SIMONOFF E, et al. Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 2008; 47(8): 921-929.
40. SOKOLOVA E, et al. A causal and mediation analysis of the comorbidity between attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). J Autism Dev Disord, 2017; 47: 1595-1604.
41. VAN DER MEER JM, et al. Are autism spectrum disorder and attention-deficit/hyperactivity disorder different manifestations of one overarching disorder? Cognitive and symptom evidence from a clinical and population-based sample. Journal of the American Academy of Child and Adolescent Psychiatry, 2012; 51: 1160-1172.e1163.
42. WOZNIAK J, et al. Mania in children with pervasive developmental disorder revisited. Journal of the American Academy of Child and Adolescent Psychiatry, 1997; 36(11): 1552-1559.
2. AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and statistical manual of mental disorders. 5nd ed. Arlington, VA: 2013.
3. ARNEVIK EA e HELVERSCHOU SB. Autism Spectrum Disorder and Co-occurring Substance Use Disorder - A Systematic Review. Subst Abuse. 2016; 10(1): 69-75.
4. BHANDARI S, Thrombotic Thrombocytopenic Purpura. N Engl J Med, 2019; 380(16): 23.
5. BOOGERT, F, et al. Sensory processing and alcohol use in adults with autism spectrum disorder. Alcohol, 2023; 19(114): 25-30.
6. BROOKMAN-FRAZEE L, et al. Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services. Autism, 2019; 23(7): 1745-1758.
7. CAPRIOLA-HALL NN, et al. Caution When Screening for Autism among Socially Anxious Youth. Journal of Autism and Developmental Disorders, 2020; 51(5): 1540-1549.
8. CHIURAZZI P, et al. Genetic analysis of intellectual disability and autism. Acta Biomed, 2020; 91(13-S): e2020003.
9. CRAIG F, et al. Overlap between Autism Spectrum Disorders and attention deficit hyperactivity disorder: searching for distinctive/common clinical features. Autism Research, 2015; 8(3): 328-337.
10. DE BRUIN EI, et al. High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 2007; 37(5): 877-886.
11. DUNALSKA A, et al. Comorbidity of bipolar disorder and autism spectrum disorder - review paper. Psychiatr Pol, 2021; 55(6): 1421-1431.
12. FARAG F, et al. Avoidant/restrictive food intake disorder and autism spectrum disorder: clinical implications for assessment and management. Dev Med Child Neurol, 2022; 64(2): 176-182.
13. GARGARO BA, et al. Autism and ADHD: how far have we come in the comorbidity debate?. Neuroscience & Biobehavioral Reviews, 2011; 35(5): 1081-1088.
14. GONZÁLEZ MC, et al. Autism spectrum disorder: Clinical diagnosis and ADOS Test. Revista Chilena De Pediatria, 2019; 90(5): 485-491.
15. HERVÁS A. Género femenino y autismo: infra detección y mis diagnósticos. Medicina (Buenos Aires), 2022; 82(Supl. I): 37-42.
16. HOFVANDER B, et al. Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders. BMC Psychiatry, 2009; 9: 35.
17. HOSSAIN MM, et al. Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses. Psychiatry Res, 2020; 287: 112922.
18. HUDSON CC, et al. Prevalence of Depressive Disorders in Individuals with Autism Spectrum Disorder: a Meta-Analysis. J Abnorm Child Psychol, 2019; 47(1): 165-175.
19. HYMAN SL, et al. Identification, Evaluation, and Management of Children With Autism Spectrum Disorder. Council On Children With Disabilities, Section On Developmental And Behavioral Pediatrics. Pediatrics, 2020; 145(1): e20193447.
20. JONES CRG, et al. Co-occurrence of developmental disorders: children who share symptoms of autism, dyslexia and attention deficit hyperactivity disorder. Pesquisa em Revista de Saúde Mental, 2014; 17(2): 115-124.
21. JOSHI G, et al. The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: a large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders, 2010; 40(11): 1361-1370.
22. JUTLA A, et al. Autism spectrum disorder and schizophrenia: an updated conceptual review. Autism Res, 2022; 15(3): 384-412.
23. KENTROU V, et al. Delayed autism spectrum disorder recognition in children and adolescents previously diagnosed with attention-deficit/hyperactivity disorder. Autism, 2019; 23(4): 1065-1072.
24. KERNS CM e KENDALL PC. The presentation and classification of anxiety in autism spectrum disorder. Clinical psychology: Science and practice, 2012; 19(4): 323-347.
25. LAI MC, et al. A Multidimensional Meta-Analysis of Pharmacotherapy for Autism Spectrum Disorder. The American Journal of Psychiatry, 2014; 171(8): 834-841.
26. LECAVALIER L, et al. An exploration of concomitant psychiatric disorders in children with autism spectrum disorder. Comprehensive Psychiatry, 2019; 88(1): 57-64.
27. LEE DO e OUSLEY OY. Attention-deficit hyperactivity disorder symptoms in a clinic sample of children and adolescents with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 2006; 16(6): 737-746.
28. LEYFER OT, et al. Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 2006; 36(7): 849-861.
29. LUGNEGARD T, et al. Personality disorders and autism spectrum disorders: What are the connections? Comprehensive Psychiatry, 2012; 53(4): 333-340.
30. MARTIN AF, et al. Co-occurring obsessive-compulsive disorder and autism spectrum disorder in young people: prevalence, clinical characteristics and outcomes. Eur Child Adolesc Psychiatry, 2020; 29(11): 1603-1611.
31. MATSON JL e GOLDIN RL. Comorbidity and autism: trends, topics and future directions. Research in Autism Spectrum Disorders, 2013; 7(10): 1228-1233.
32. MAZEFSKY CA, et al. The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child e Adolescent Psychiatry, 2012; 51(7): 679-688.
33. MATSON JL, et al. Comorbidity of physical and motor problems in children with autism. Research in Autism Spectrum Disorders, 2016; 21(1): 1-7.
34. MULAS F e ROCA P. Concordancias entre los trastornos del espectro del autismo y el trastorno por déficit de atención/hiperactividad. Rev Neurol 2018; 66(Supl 1): S91-6.
35. PARMEGGIANI A, et al. Early features of autism spectrum disorder: a cross-sectional study. Italian Journal of Pediatrics, 2019; 45(10): 14.
36. PAZUNIAK M e PEKRUL SR. Obsessive-Compulsive Disorder in Autism Spectrum Disorder Across the Lifespan. Child Adolesc Psychiatr Clin N Am, 2020; 29(2): 419-432.
37. ROGERS SJ e VISMARA LA. Evidence-based comprehensive treatments for early autism. Journal of Clinical Child e Adolescent Psychology, 2008; 37(1): 8-38.
38. RONALD A, et al. Genetic heterogeneity between the three components of the autism spectrum: A twin study. Journal of the American Academy of Child & Adolescent Psychiatry, 2010; 45(6): 691-699.
39. SIMONOFF E, et al. Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 2008; 47(8): 921-929.
40. SOKOLOVA E, et al. A causal and mediation analysis of the comorbidity between attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). J Autism Dev Disord, 2017; 47: 1595-1604.
41. VAN DER MEER JM, et al. Are autism spectrum disorder and attention-deficit/hyperactivity disorder different manifestations of one overarching disorder? Cognitive and symptom evidence from a clinical and population-based sample. Journal of the American Academy of Child and Adolescent Psychiatry, 2012; 51: 1160-1172.e1163.
42. WOZNIAK J, et al. Mania in children with pervasive developmental disorder revisited. Journal of the American Academy of Child and Adolescent Psychiatry, 1997; 36(11): 1552-1559.